Mannan, Faiyad Yaseer
Mannan, Faiyad Yaseer is an individual health care provider with primary practice located at 727 Hospital Dr , Shelbyville KY 40065-1660. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mannan, Faiyad Yaseer can be contacted via phone (502) 367-3360.Contact Information
Primary practice address
727 Hospital Dr
Shelbyville KY 40065-1660
Phone: (502) 367-3360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TP856 | Kentucky |
Profile Details
| NPI number | 1114487436 |
|---|---|
| LBN Legal business name | Mannan, Faiyad Yaseer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Nov 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114487436 | NPPES |
| Kentucky | MEDICAID | 7100681900 |
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